SHANA 12 Registration
Use this form to register and select your payment option for SHANA 12. More information and an FAQ about the program can be found at www.habonimdror.org/shana.
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First Name *
Last Name *
Pronouns 
Machaneh Affiliations *
Required
Location/University: *
Please write where you are currently living and/or attending university.
Phone Number: *
Email Address: *
Birthday
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